Adult
Psychiatry Residency: Didactic Curriculum
Overview of Psychiatry
This is a year-long seminar for all PG-1 residents. It begins with a
two-month review of psychiatric history taking, the mental status and cognitive
exams, psychiatric emergencies and basic psychopharmacology. It proceeds to a review of the major domains
of modern psychiatry. The course covers symptoms, diagnosis, clinical course,
psychopathology, epidemiology, clinical psychopharmacology, and psychotherapy.
Time is allotted for special topics such as culture, forensics, ethics, and psychological testing.
Residents will have the opportunity to meet many of our faculty.
Emergency Psychiatry
A case-based overview of basic topics in emergency psychiatry,
including emergency management of affective and psychotic disorders, drug
intoxication/withdrawal syndromes, the evaluation of suicidality and
homocidality, elementary forensic issues, and culture.
Clinical Case Conference
PG-1 (and PG-2) residents present patients from their teams. Patients are
interviewed and then discussed by the faculty. The course emphasizes
interviewing techniques, criterion-based diagnosis, biopsychosocial formulation,
pharmacotherapy and treatment planning. Cases are scheduled so that special
areas such as families, culture, forensics, geriatrics, and addictions are
covered regularly over the course of the year.
The Biopsychosocial Formulation
In-depth tutorial geared toward gathering the psychosocial, developmental, and
relational history. From these data, a formal biopsychosocial formulation is
developed.
Residents prepare comprehensive formulations weekly and submit them in writing
for review and discussion. Readings are also included.
Reactions to Patients
Residents participate in a group tutorial with a specific focus on their
reactions to patients during the course of their inpatient admissions and brief
psychotherapy. This tutorial includes work on self-reflection and its use in clinical
management.
PG-1 Group
Goals for this group include assistance with the transition from medical student
to resident, fostering the consolidation of this first-year class, receiving
practical advice from each other and advanced residents about clinical
rotations, sharing with colleagues clinical experiences with patients,
discussing diverse cultural and ethical issues, and meeting with rotation
coordinators and key faculty.
Grand Rounds
Research topics, clinical presentations of particular syndromes, in-depth
presentations in psychopharmacology and psychotherapy, followed by a discussion
period. The planning group, comprised of multidisciplinary senior faculty ensures a broad range of issues
presented by national experts. Departmental multidisciplinary case conferences
are held five to seven times during the year.
Journal Club
All residents meet to discuss a specific topic or paper with a faculty member
who has expertise in the chosen area. Critical readings of psychiatric
literature and focused articulation of ideas are the primary goals.
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Clinical Psychopharmacology
This course provides an in-depth presentation of the psychopharmacology of
psychosis, major depression, bipolar disorder, the specific anxiety disorders
and severe character pathology, as well as special topics. Links are consistently
made between clinical aspects and neurobiology/neuroscience. A didactic
introduction to ECT is included.
Introduction to Neurobiology
This course provides more junior trainees with an introduction to the
molecular and genetic neuroscience and neurobiology of the major psychiatric
disorders. Domains include schizophrenia, the addictions, affective disorders,
anxiety disorders, and dementias.
Introduction to Psychotherapy
This is a modification of the year-long course developed by B. Beitman. It
systematically presents an integrated model of psychotherapy, with an
introduction to psychodynamic, cognitive-behavioral and interpersonal
principles. It covers the core knowledge and basic skills of psychotherapy.
Emergency Psychiatry/Crisis Intervention
Case-based review of topics in ER and crisis intervention psychiatry.
Emphasis alternates between the ER and short-term crisis
outpatient settings, with progression during the year from intermediate to
advanced skills. Relevant cultural and forensic issues are addressed.
Ways of Listening: Interviewing/Identifying the Task of Psychotherapy/Introduction to the Oral
Board Format
This course gives residents the opportunity to observe clinicians and
residents interviewing patients. The initial segment focuses on interviewing
styles, maintenance of the alliance, psychosocial and developmental issues,
timing, boundaries, and "surprise".
The middle segment provides the opportunity to perform and observe interviews and
engage in Q/A sessions in the model of oral boards.
The course leader and the other residents will critique these sessions. The
final segment focuses on the initial interview as a means to establish the
initial task of psychotherapy.
Normal Development and Developmental Psychopathology
This course reviews the fundamentals of child and adolescent development.
Residents will read and discuss the classic framework writings of Erickson and
Margaret Mahler. The course presents the biopsychosocial model of understanding
developmental psychopathology and addresses the major domains of child and
adolescent psychiatry.
Geriatric Psychiatry
Core readings with discussion of geropsychiatry, including the approach to the
geriatric psychiatry patient, psychosocial and sociocultural issues in aging,
dementia, late-life depression, geriatric psychopharmacology, legal and ethical
issues, aging and personality, and psychosis in the elderly.
Addiction Psychiatry
This seminar covers a broad range of topics relevant to the understanding of
addictive disorders. The basics of addiction, including epidemiology,
neurobiology, and genetics are addressed. There is a strong emphasis on how to
understand addiction and make inroads as a therapist. Approaches presented
include 12-step programs, motivational enhancement therapy, and
cognitive-behavioral therapy. Recent advances in the pharmacology of addiction,
as well as techniques of inpatient and ambulatory detoxification, will be
discussed.
Introduction to Family Therapy
This course covers the basic aspects of systems theory, family interventions,
and the family as a sociocultural unit. Cross-cultural, gender, and
alternative-lifestyle issues are also discussed.
Principles of Clinical Research
This course covers principles of biostatistics, research design, current
prominent models of psychiatric clinical research, and critical reading of the
literature. It prepares those anticipating research as a central focus of their
advanced years for this work.
Psychosomatic Medicine and Neuropsychology Conference
Employs case presentations to review topical material. Clinical material, videotapes, and neuroimages are presented
when relevant. Areas in behavioral neurology and psychology are integrated. This
is a multidisciplinary conference. Consultation/liaison psychiatry and
neuropsychology faculty members and trainees attend.
Clinical Case Conference
PG-2 (and PG-1) residents present patients from their teams. Patients are
interviewed and then discussed by the faculty. The course emphasizes
interviewing techniques, criterion-based diagnosis, biopsychosocial formulation,
pharmacotherapy, and treatment planning. Cases are scheduled so that special
areas such as families, culture, forensics, geriatrics, and addictions are
covered regularly over the course of the year.
Grand Rounds
Research topics, clinical presentations of particular syndromes, in-depth
presentations in psychopharmacology and psychotherapy, followed by a discussion
period. The planning group, comprised of multidisciplinary senior faculty, ensures a broad range of issues
presented by national experts. Departmental multidisciplinary case conferences
are held five to seven times during the year.
Journal Club
All residents meet to discuss a specific topic or paper with a faculty member
who has expertise in the chosen area. Critical readings of psychiatric
literature and focused articulation of ideas are the primary goals.
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Brief Therapy Seminar
This course focuses on work with outpatients in brief psychotherapy. A major
section of this course is devoted to training and supervision of brief dynamic
psychotherapy, with particular emphasis on the Mann and Strupp models.
Cognitive-Behavioral Therapy
Didactic presentation of the cognitive-behavioral model of a broad range of
psychiatric illnesses and an empirical approach to treatment. Practical training
in cognitive-behavioral therapies concentrating on anxiety disorders such as
obsessive-compulsive disorders and panic disorders. Each resident carries one or
more cognitive-behavioral cases throughout the year.
Family Therapy
This seminar covers a variety of issues in family therapy. The resident is
given a broad exposure to basic concepts and prominent schools within the field
of family treatment. There is a particular focus on structural family therapy. A
subsection includes culture, ethnicity, and the family.
Group Psychotherapy
Core course in group psychotherapy, including group leadership, readings, and
supervision. Primary experience will be in outpatient therapy, and there will be
some exposure to inpatient group psychotherapy. This course will focus on issues
of group leadership, stages of group development, group process dynamics, and the
role of diagnosis. Psychodynamic, interpersonal, and cognitive models will be
covered.
Advanced Psychopharmacology
This course covers a broad range of topics in neuropharmacology that are
relevant to clinical practice. Relevant topics in clinical pharmacology are
covered utilizing case material, research, and relevant neuroscience. Residents
are also assigned papers to present to the group for critical review.
Advanced Neurobiology
This course covers a broad range of topics in neurobiology, including the
neurochemical systems of the central nervous system, principles of molecular
biology, clinical molecular genetics, clinical neurochemistry, clinical
neuroendocrinology, and clinical neuroimmunology. Each of these elements is then
applied to the core psychiatric diagnoses and their pharmacological treatment,
including the psychoses, mood disorders, anxiety disorders, substance abuse
disorders, and dementia. Residents are active participants ("teachers")
in this course.
Public-Sector Psychiatry
This seminar covers a variety of central issues in public-sector psychiatry.
Areas discussed include comprehensive care for chronic mental illness, systems
of care, continuity in treatment, multidisciplinary issues, historical and
political aspects, and specialized current treatment programs and strategies.
There is also a focus on cross-cultural issues.
Forensic Psychiatry
This course covers the essential aspects of forensic psychiatry, including
civil commitment, competency, expert testimony, psychiatric malpractice,
criminal responsibility, informed consent, right to treatment, right to refuse
treatment, psychiatric ethics, and mental health legislation. The course utilizes
readings, case presentations and experience in the court and legislature.
Cross-Cultural Psychiatry Seminar
This seminar will cover issues relevant to mental health services for
African-American, Latino, Asian, and other ethnic and religious groups, as well
as issues pertaining to gender, gay and lesbian issues, and HIV disease. Selected
readings will be utilized, as well as guest lecturers, film and other
audiovisual material.
Outpatient Service Case Conference
This is a weekly outpatient service conference that addresses issues of
treatment selection, initiation of treatment, treatment planning, continuity of
care, administration, cultural issues, forensic issues, and multidisciplinary
issues typical of outpatient treatment. The schedule is such that the special
areas of families, culture, forensics, geriatrics, and addictions are covered
regularly during the course of the year. Both ongoing cases and recent intakes
are discussed.
Grand Rounds
Research topics, clinical presentations of particular syndromes, in-depth
presentations in psychopharmacology and psychotherapy, followed by a discussion
period. A planning group of multidisciplinary senior faculty ensures a broad range of issues
presented by national experts. Departmental multidisciplinary case conferences
are held five to seven times during the year.
Journal Club
All residents meet to discuss a specific topic or paper with a faculty member
who has expertise in the chosen area. Critical readings of psychiatric
literature and focused articulation of ideas are the primary goals.
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Psychoanalytical Theory
Taught by three psychoanalysts, this course covers the development of
psychoanalytic theory from early Freud to the present. Major developments in the
field are discussed, using selected readings. The focus is on an understanding
of the essential features of drive, psychology, structural theory, ego
psychology, object relations theory, and self-psychology. Applications to
clinical work are a constant feature.
Health Systems, Health Policy, Law and Ethics
This course is a series of presentations by experts in health care systems,
policy, and administration and focuses on issues in the evolving health care field. It
places particular emphasis on psychiatric service delivery systems,
administration, and legal and regulatory issues. Ethical dilemmas in modern health
care are a central focus. The course will include discussion of career options,
followed by areas pertinent to job negotiations and transition to practice.
Advances in Psychiatry
This course provides advanced trainees with the opportunity to explore the
most current advances in the field of psychiatry across a variety of
subspecialty areas which change yearly and are selected six months in advance by the faculty and the PGY-4 class.
Inpatient Service Case Conference
PG-1 and PG-2 residents present patients from their teams. Patients are
interviewed and then discussed by the faculty. The course emphasizes
interviewing techniques, criterion-based diagnosis, biopsychosocial formulation,
pharmacotherapy, and treatment planning. The PG-4 resident is administratively
responsible for this conference, assists residents in preparation, and evaluates
their performance. Cases are scheduled so that special
areas such as families, culture, forensics, geriatrics, and addictions are
covered regularly over the course of the year.
Outpatient Service Case Conference
This is a weekly outpatient service conference that addresses issues of
treatment selection, initiation of treatment, treatment planning, continuity of
care, administration, cultural issues, forensic issues, and multidisciplinary
issues typical of outpatient treatment. The schedule is such that the special
areas of families, culture, forensics, geriatrics, and addictions are covered
regularly during the course of the year. Both ongoing cases and recent intakes
are discussed.
Chief’s Tutorial
This supervision provides detailed discussions about leadership,
administration, "the institution as systems", the clinical-educational
interface, teaching, and supervision.
Grand Rounds
Research topics, clinical presentations of particular syndromes, in-depth
presentations in psychopharmacology and psychotherapy, followed by a discussion
period. A planning group of multidisciplinary senior faculty ensures a broad range of issues
presented by national experts. Departmental multidisciplinary case conferences
are held five to seven times during the year.
Journal Club
All residents meet to discuss a specific topic or paper with a faculty member
who has expertise in the chosen area. Critical readings of psychiatric
literature and focused articulation of ideas are the primary goals.
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